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MCCLUNE, GRANT LEE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: PEACE HARBOR SURGICAL CLINIC
330 NINTH ST
FLORENCE OR 97439

Address last updated on 9/13/2016
Phone #: (541) 997-2820
Fax #:
County: NOT OKLAHOMA
License: 24178
Dated: 9/9/2004
Expires: 9/1/2017
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of IA Roy J & L Carver COM, Iowa City, IA 52242
Graduated: 5 / 1992
CME Year: 2019
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
Locations: Hours: Languages:
PEACE HARBOR SURGICAL CLINIC
330 NINTH ST
FLORENCE OR 97439

Phone #: (541) 997-2820
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
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